Research Article

A Simple Nomogram to Predict Contrast-Induced Acute Kidney Injury in Patients with Congestive Heart Failure Undergoing Coronary Angiography

Table 1

Baseline characteristics in the development cohort.

VariablesMissing value, n (%)CI-AKI (n = 109)Non-CI-AKI (n = 1152) value

Age, years0 (0)69.72 ± 10.7564.24 ± 10.36<0.001
Age ≥ 65 years, n (%)0 (0)80 (73.39)584 (50.69)<0.001
Age ≥ 75 years, n (%)0 (0)41 (37.61)203 (17.62)<0.001

Female sex, n (%)0 (0)33 (30.28)281 (24.39)0.175
Weight, kg8 (0.63)62.46 ± 9.8464.70 ± 10.930.027
SBP, mmHg3 (0.24)128.83 ± 28.19130.77 ± 20.390.487
DBP, mmHg4 (0.32)73.64 ± 12.7076.54 ± 11.980.024
HR, bpm3 (0.24)80.04 ± 16.9474.86 ± 13.720.003

Medical history
Hypotension, n (%)4 (0.32)11 (10.28)25 (2.17)<0.001
CKD, n (%)0 (0)57 (52.29)236 (20.49)<0.001
CKD stages0 (0)<0.001
CKD G1, n (%)14 (12.84)358 (31.08)
CKD G2, n (%)38 (34.86)558 (48.44)
CKD G3, n (%)41 (37.61)221 (19.18)
CKD G4, n (%)16 (14.68)13 (1.13)
CKD G5, n (%)0 (0)2 (0.17)
LVEF, %137 (10.86)50.36 ± 12.5457.50 ± 13.15<0.001
LVEF < 40%, n (%)137 (10.86)20 (19.80)123 (12.02)0.025

Heart function (NYHA class)0 (0)<0.001
II, n (%)28 (25.69)742 (64.41)
III, n (%)14 (12.84)98 (8.51)
IV, n (%)3 (2.75)15 (1.30)

Heart function (Killip class)0 (0)<0.001
II, n (%)42 (38.53)250 (21.70)
III, n (%)10 (9.17)34 (2.95)
IV, n (%)12 (11.01)13 (1.13)

Hypertension, n (%)1 (0.08)85 (77.98)703 (61.08)<0.001
Hyperlipidemia, n (%)0 (0)16 (14.68)166 (14.41)0.939
Hypoalbuminemia, n (%)108 (8.56)60 (68.18)479 (44.98)<0.001
Anemia, n (%)21 (1.67)54 (50.47)378 (33.36)<0.001
AMI, n (%)4 (0.32)64 (58.72)297 (25.87)<0.001
Diabetes, n (%)0 (0)38 (34.86)293 (25.43)0.032
CAD, n (%)6 (0.48)104 (95.41)1068 (93.19)0.373

Laboratory examination
LDL-C, mmol/L224 (17.76)2.94 ± 1.102.67 ± 0.950.045
HDL-C, mmol/L224 (17.76)0.96 ± 0.301.05 ± 2.200.267
SCr, μmol/L0 (0)120.76 ± 55.3393.12 ± 44.14<0.001
eGFR, ml/min/1.73 mm20 (0)63.16 ± 34.4978.88 ± 23.74<0.001
Hemoglobin, g/L73 (5.79)122.19 ± 21.61133.06 ± 16.42<0.001
HbA1c, %270 (21.41)6.97 ± 1.596.59 ± 1.360.040

Medications
ACEI/ARB, n (%)0 (0)87 (79.82)1004 (87.15)0.032
Beta blocker, n (%)1 (0.08)68 (62.39)992 (86.19)<0.001
Statin, n (%)0 (0)102 (93.58)1113 (96.61)0.109
Diuretics, n (%)1 (0.08)52 (47.71)236 (20.50)<0.001

Procedure
PCI, n (%)61 (4.84)71 (78.02)782 (70.51)0.129
Hydration volume, mL32 (1.71)1130.31 ± 674.82788.37 ± 433.57<0.001
Contrast volume, mL0 (0)139.72 ± 72.85133.88 ± 67.780.422
Contrast volume ≥ 100 mL, n (%)0 (0)81 (74.31)869 (74.43)0.795
Contrast volume ≥ 200 mL, n (%)0 (0)21 (19.27)224 (19.44)0.964
Mehran score23 (1.82)9.75 ± 6.194.72 ± 4.18<0.001
Peri-procedure IABP, n (%)0 (0)26 (23.85)35 (3.04)<0.001

CI-AKI: contrast-induced acute kidney injury; SBP: systolic blood pressure; DBP: diastolic blood pressure; HR: heart rate; LVEF: left ventricular ejection fraction; CKD: chronic kidney disease; NYHA: New York Heart Association; AMI: acute myocardial infarction; CAD: coronary artery disease; LDL-C: low-density lipoprotein-C; HDL-C: high-density lipoprotein-C; SCr: serum creatinine; eGFR: estimate glomerular filtration rate; ACEI: angiotensin-converting enzymes inhibitors; ARB: angiotensin-receptor blockers; PCI: percutaneous coronary intervention; and IABP: intra-aortic balloon pump.